What is a Trendelenburg setting & why/when do you use it? How is the PTx layed on this?

This is when the table is tilted so the head is lower than the feet - which is great for Ca abdomen stuff since the organs slide cr. The REVERSE Trendelenburg is when the head is higher than the feet & this is good for Cr abdomen things since organs slide Ca. *Dorsal recumbency most common

If you use a Trendelenburg setting, what should you tell the anesthetist?

Tell anesthetist that there will be an upload? So viscera will be displaced cranially so diaphragm will be overloaded

When might you want to add a paracostal approach to your ventral midline approach when opening the abdomen?

In case you need better exposure in the cranial abdomen, need for gallbladder & liver Sx

What is the approach (where/how do you cut) for an exploratory celiotomy? What should you avoid?

Ventral midline approach from xyphoid to pubis. He said NO keyhole incisions for this. (Paracostal incision? ← i think he means consider this in combination possibly)

What are the instruments you will need for your exploratory celiotomy?

CONTAMINATION IS NOT INFXN! Contamination of 65000 bact per hour. 10^6 BAC per gram of skin to be classified as Infnxn. No ABx given for contamination, just Infnxn. (pre - ABx - given 1 hr to 30 min pre Sx & then repeated 90 min later in Sx)

After entering the peritoneal cavity what should you obtain while youre in there?